HOUSE OF REPRESENTATIVES	H.R. NO.	77
TWENTY-FOURTH LEGISLATURE, 2008		H.D. 1
STATE OF HAWAII

HOUSE RESOLUTION

REQUESTING THE GOVERNOR TO CONDUCT A COMPREHENSIVE STUDY AND COST REVIEW OF CERTAIN CARE HOME SERVICES IN HAWAII.

     WHEREAS, adult foster homes (AFHs), adult residential care homes (ARCHs), expanded adult residential care homes (E-ARCHs), and community care foster family homes (CCFFHs), either nonprofit or for profit, serve Hawaii's residents; and

     WHEREAS, these care homes are designed to provide safe, humane, comfortable, and supportive residential settings for adults who do not need to live in a long-term care facility or require its services, but who require assistance or supervision with activities of daily living; and

     WHEREAS, the Department of Health licenses ARCHs under section 321‑15.6, Hawaii Revised Statutes (HRS) and E-ARCHs under section 321-15.62, HRS, and certifies AFHs under section 321-11.2, HRS, and the Department of Human Services certifies CCFFH's under section 346-334, HRS; and

     WHEREAS, licensing and certification rules strengthen health and safety protections for adult residential care home residents based on current information and research and incorporate state-of-the-art program concepts; and

     WHEREAS, a comprehensive review of the operational costs incurred by AFHs with disabled adult residents, and ARCHs, E-ARCHs, and CCFFHs, in Hawaii has not been conducted; and

     WHEREAS, a comprehensive review would be beneficial for operational and administrative purposes; now, therefore,

     BE IT RESOLVED by the House of Representatives of the Twenty-fourth Legislature of the State of Hawaii, Regular Session of 2008, that the Governor is requested to conduct a comprehensive study and cost review of services provided by AFHs with disabled adult residents, and ARCHs, E-ARCHs, and CCFFHs, in Hawaii, including the actual costs incurred to operate these homes; and

     BE IT FURTHER RESOLVED that the Governor is requested to include in the written report at least the following:

     (1)  A comparison of the cost of operating:

(A)  AFHs (section 346-334, HRS) with disabled adult residents;

(B)  A type I ARCH (section 321‑15.6(b)(2)(A), HRS);

(C)  A type II ARCH (section 321‑15.6(b)(2)(B), HRS);

(D)  An E-ARCH (section 321-15.62, HRS);

(E)  CCFFHs (section 321-11.2, HRS); and

     (2)  A comparison of the costs for ARCHs that serve residents who receive Supplemental Security Income and those homes that do not;

     (3)  A determination of costs identified to be one—time costs and those costs identified as recurrent, including staff and administrator training costs; and

     (4)  An estimate of the annual cost savings to the State arising from the placement of individuals within ARCHs, E-ARCHs, CCFFHs, and AFHs with disabled adult residents, as opposed to placement in long-term care facilities;

and

BE IT FURTHER RESOLVED that the Governor is requested to assign any personnel from any executive department or agency to conduct the comprehensive study that the Governor determines to be appropriate; and

BE IT FURTHER RESOLVED that the Governor is requested to submit findings and recommendations, including any necessary proposed legislation, in a report to the Legislature no later than 20 days prior to the convening of the Regular Session of 2009; and

     BE IT FURTHER RESOLVED that certified copies of this Resolution be transmitted to the Governor, Director of Health, and Director of Human Services.

Report Title: 

Care Homes and Foster Family Homes; Study and Cost Review